NSG4067
Gerontological Nursing
4.0 Credits
Final Exam Review (Qns & Ans)
2025
©2025
, 1. Multiple Choice
Case Scenario:
An 80-year-old patient with multiple chronic conditions has begun to
experience drug toxicity despite standard dosing. The nurse is evaluating
age-related physiological changes that could explain this situation.
Question:
Which age-associated physiologic change most significantly contributes
to altered drug clearance in older adults?
Options:
A. Increased gastric pH
B. Enhanced hepatic enzyme activity
C. Decline in renal function
D. Increased lean body mass
Correct ANS:
C. Decline in renal function
Rationale:
With advancing age, renal blood flow and glomerular filtration rate
decline, leading to decreased clearance of many medications. This
necessitates dosage adjustments to avoid drug toxicity.
---
2. Fill-in-the-Blank
Case Scenario:
A nurse educator preparing a gerontological curriculum emphasizes a
syndrome characterized by unintended weight loss, weakness, and
decreased physical activity in older adults.
Question:
©2025
,The condition marked by reduced physiologic reserve and increased
vulnerability is known as __________.
Correct ANS:
frailty
Rationale:
Frailty is a clinical syndrome in older adults characterized by diminished
strength, endurance, and reduced physiologic function, increasing the
risk of adverse outcomes.
---
3. True/False
Case Scenario:
An MSN-prepared nurse researcher reviews epidemiologic data and
notes that the prevalence of dementia rises significantly with increasing
age.
Statement:
The incidence of dementia increases as age advances.
Correct ANS:
True
Rationale:
Epidemiologic studies have consistently demonstrated that the risk and
prevalence of dementia markedly increase with age.
---
4. Multiple Response
Case Scenario:
A nurse practitioner conducts a comprehensive geriatric assessment for
an older patient with multiple health issues.
©2025
, Question:
Which components are essential in a comprehensive geriatric
assessment? (Select all that apply.)
Options:
- A. Comprehensive medication review
- B. Cognitive function evaluation
- C. Nutritional status assessment
- D. Social support and environmental review
- E. Routine genetic testing for hereditary conditions
Correct ANSs:
A, B, C, D
Rationale:
A comprehensive geriatric assessment should include evaluations of
medications, cognitive function, nutritional status, and
social/environmental supports. Routine genetic testing (option E) is not
typically part of standard geriatric assessments.
---
5. Multiple Choice
Case Scenario:
A geriatric nurse caring for a patient with signs of depression notices that
the patient primarily complains of persistent, non-specific bodily pain
rather than overt sadness.
Question:
Which of the following best describes an atypical presentation of
depression in older adults?
Options:
A. Expressed feelings of sadness
©2025
Gerontological Nursing
4.0 Credits
Final Exam Review (Qns & Ans)
2025
©2025
, 1. Multiple Choice
Case Scenario:
An 80-year-old patient with multiple chronic conditions has begun to
experience drug toxicity despite standard dosing. The nurse is evaluating
age-related physiological changes that could explain this situation.
Question:
Which age-associated physiologic change most significantly contributes
to altered drug clearance in older adults?
Options:
A. Increased gastric pH
B. Enhanced hepatic enzyme activity
C. Decline in renal function
D. Increased lean body mass
Correct ANS:
C. Decline in renal function
Rationale:
With advancing age, renal blood flow and glomerular filtration rate
decline, leading to decreased clearance of many medications. This
necessitates dosage adjustments to avoid drug toxicity.
---
2. Fill-in-the-Blank
Case Scenario:
A nurse educator preparing a gerontological curriculum emphasizes a
syndrome characterized by unintended weight loss, weakness, and
decreased physical activity in older adults.
Question:
©2025
,The condition marked by reduced physiologic reserve and increased
vulnerability is known as __________.
Correct ANS:
frailty
Rationale:
Frailty is a clinical syndrome in older adults characterized by diminished
strength, endurance, and reduced physiologic function, increasing the
risk of adverse outcomes.
---
3. True/False
Case Scenario:
An MSN-prepared nurse researcher reviews epidemiologic data and
notes that the prevalence of dementia rises significantly with increasing
age.
Statement:
The incidence of dementia increases as age advances.
Correct ANS:
True
Rationale:
Epidemiologic studies have consistently demonstrated that the risk and
prevalence of dementia markedly increase with age.
---
4. Multiple Response
Case Scenario:
A nurse practitioner conducts a comprehensive geriatric assessment for
an older patient with multiple health issues.
©2025
, Question:
Which components are essential in a comprehensive geriatric
assessment? (Select all that apply.)
Options:
- A. Comprehensive medication review
- B. Cognitive function evaluation
- C. Nutritional status assessment
- D. Social support and environmental review
- E. Routine genetic testing for hereditary conditions
Correct ANSs:
A, B, C, D
Rationale:
A comprehensive geriatric assessment should include evaluations of
medications, cognitive function, nutritional status, and
social/environmental supports. Routine genetic testing (option E) is not
typically part of standard geriatric assessments.
---
5. Multiple Choice
Case Scenario:
A geriatric nurse caring for a patient with signs of depression notices that
the patient primarily complains of persistent, non-specific bodily pain
rather than overt sadness.
Question:
Which of the following best describes an atypical presentation of
depression in older adults?
Options:
A. Expressed feelings of sadness
©2025
